| NPI | 1649092081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN KUSIAK Owner/Counselor 970-471-2783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |